Traumatic Isolated Dissection of the Celiac Artery

Suchak, Amar A.; Reich, David J.; Ritchie, William G. M.

doi:10.2214/ajr.05.1553

Cited by 20 publications

(23 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Isolated CA injury, which is an injury to the CA without concomitant aortic injury, is the least common among all abdominal arterial injuries. To date, only 8 reports of isolated CA injury following blunt trauma have been reported [2][3][4][5][6][7][8][9]. These cases, except for 1 case without a detailed description, are summarized, along with our two cases, in Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…However, focal dissections of the CA can be missed by standard single-phase images with 5-mm thick sections [5], and we recommend repeat CT angiography or three-phase abdominal CT with 3-mm sections with reconstructed multiplanar images when injuries to visceral arteries are suspected and the initial CT is nondiagnostic. Common CT findings of CA dissections are intimal flap, thrombosed false lumen, segmental fat infiltration, aneurysmal dilatation of CA, and extension of dissection into branch arteries [14].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

Han

Gwak

Choi

et al. 2017

Journal of Trauma and Injury

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

Han

Gwak

Choi

et al. 2017

Journal of Trauma and Injury

View full text Add to dashboard Cite

show abstract

“…In the majority of cases, traumatic injury to the coeliac artery is associated with injury to other intra-abdominal organs, including the small bowel, duodenum, pancreas, colon or stomach. Only a few cases of isolated blunt traumatic injury to the coeliac axis have been reported [2][3][4][5]. The intimate anatomical relationship of the coeliac axis to the median arcuate ligament has been proposed as a factor contributing to isolated coeliac artery injury secondary to blunt trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Not all injuries to the coeliac artery will require operative intervention though. Symptomatic coeliac injury resulting in dissection is treated with endovascular stenting, while asymptomatic injuries can be managed conservatively with antiplatelet therapy or anticoagulation to prevent extension of the clot and allow for possible recanalisation [3,4].…”

Section: Discussionmentioning

confidence: 99%

An uncommon cause of abdominal pain following blunt abdominal trauma

Laeseke

Gayer²

2012

BJR

View full text Add to dashboard Cite

A 47-year-old otherwise healthy male presented to the emergency department 5 days after being involved in a motorcycle accident during which he hit his abdomen on the handlebars. The patient did not seek medical attention at the time of the accident. At the time of presentation to the emergency department, he was complaining of mild epigastric and left upper quadrant abdominal pain that was exacerbated by lying down, but had no relationship to eating. In addition, he was feeling increasingly distended, and was concerned that his stools were smaller in calibre and less frequent. The patient was experiencing mild nausea, but denied vomiting and had not been experiencing diarrhoea. He was afebrile and physical examination was remarkable only for mild tenderness to palpation in the epigastrium. Laboratory studies revealed an elevated lipase (166 U l 21 ). A contrast-enhanced CT scan of the patient's abdomen and pelvis was obtained (Figure 1). What are the significant findings? DiagnosisThe findings on the CT scan are compatible with intimal injury and focal thrombus involving the distal coeliac axis and proximal common hepatic and splenic arteries. No clear stigmata of pancreatic injury were evident on the CT scan, despite the mildly elevated lipase. There was no evidence of bowel ischaemia. The patient was seen by the vascular surgery team, who recommended conservative management given that there were no signs or symptoms of mesenteric malperfusion. He was started on daily oral aspirin 81 mg in the hope that the coeliac artery would recanalise, and the plan was for follow-up with the vascular surgery service. The patient was discharged and subsequently lost to follow-up.

show abstract

“…A percutaneous endovascular stent was placed across the dissected segment and the symptoms resolved. 10 In the second case, a new finding of CA dissection was found on hospital day 5 in a patient in whom hepatic artery thrombosis and fulminant hepatic failure developed, which resulted in death 9 (Table). The unique anatomic location of the CA may account for the phenomenon of isolated injury from blunt trauma.…”

Section: Commentmentioning

confidence: 98%

Asymptomatic Isolated Celiac Artery Dissection After a Fall

Gorra

Mittleider²,

Clark³

et al. 2009

Arch Surg

View full text Add to dashboard Cite

Isolated injury to mesenteric vessels in blunt trauma is uncommon. Most patients with these injuries present with abdominal pain, shock, or laboratory evidence of bowel and/or liver ischemia. We report herein the case of a man with asymptomatic isolated celiac artery dissection after blunt trauma suspected by screening abdominal computed tomography and confirmed by catheter-based angiography. The patient was treated with 3 months of oral anticoagulation alone.

show abstract

Traumatic Isolated Dissection of the Celiac Artery

Cited by 20 publications

References 4 publications

Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

Isolated Dissection of the Celiac Artery after Blunt Trauma: A Case Report and Review of Literature

An uncommon cause of abdominal pain following blunt abdominal trauma

Asymptomatic Isolated Celiac Artery Dissection After a Fall

Contact Info

Product

Resources

About